Job Information
Med-Metrix Senior Patient Access Rep Bed Control - 10:00A - 6:30P Flex Schedule in Arlington, Virginia
Job Purpose
The Senior Patient Access Representative will greet, schedule, meet and register patients in a friendly, courteous, and professional manner.
The hours for this role are 10:00A-6:30P Monday - Friday and every other weekend. 40 hours per week.
Duties and Responsibilities
Answers and routes telephone calls and messages
Coordinates insurance verifications and pre-authorizations
Maintains medical records and prepares charts/paperwork
Works effectively with insurance companies to obtain/verify pre-certification/ authorization for services
Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
Faxes pre-certification request form to insurance company
Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures
Verifies medical insurance information and documents in scheduling/registration modules
Accurately enters and updates patient data, and other general data, into the computer system
Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics
Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports
Demonstrates knowledge of varied managed care insurance and regulatory guidelines
Monitors waiting area and communicates with clinical staff of patient readiness
Provides assistance as needed to physicians, Department Managers, and clinical staff
Effective communication skills; clear written and oral techniques
Performs other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High School Diploma or equivalent required
College degree preferred
1 Year Office/Clerical experience in Healthcare field required
Exemplary customer service skills, including the ability to negotiate and problem-solve
Ability to communicate using clear and well organized oral and written techniques
Strong Attention to detail
Ability to work within deadlines with frequent interruptions
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds).
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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Job Details
Job Family REP
Pay Type Hourly
Education Level High School